Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain
In a 3-year prospective study of 643 consecutive laparoscopies for infertility, pelvic pain, or infertility and pain, the pelvic area, the depth of infiltration, and the volume of endometriotic lesions were evaluated. The incidence, area, and volume of subtle lesions decreased with age, whereas for...
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| Veröffentlicht in: | Fertility and sterility 1991-04, Vol.55 (4), p.759-765 |
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| container_title | Fertility and sterility |
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| creator | Koninckx, Philippe R. Meuleman, Christel Demeyere, Stephan Lesaffre, Emmanuel Cornillie, Freddy J. |
| description | In a 3-year prospective study of 643 consecutive laparoscopies for infertility, pelvic pain, or infertility and pain, the pelvic area, the depth of infiltration, and the volume of endometriotic lesions were evaluated. The incidence, area, and volume of subtle lesions decreased with age, whereas for typical lesions these parameters and the depth of infiltration increased with age. Deeply infiltrating endometriosis was strongly associated with pelvic pain, women with pain having larger and deeper lesions. Because deep endometriosis has little emphasis in the revised American Fertility Society classification and after analyzing the diagnoses made in each class, considerations for a simplifying revision with inclusion of deep lesions are suggested. In conclusion, suggestive evidence is presented to support the concept that endometriosis is a progressive disorder, and it is demonstrated that deep endometriosis is strongly associated with pelvic pain. |
| doi_str_mv | 10.1016/S0015-0282(16)54244-7 |
| format | Article |
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The incidence, area, and volume of subtle lesions decreased with age, whereas for typical lesions these parameters and the depth of infiltration increased with age. Deeply infiltrating endometriosis was strongly associated with pelvic pain, women with pain having larger and deeper lesions. Because deep endometriosis has little emphasis in the revised American Fertility Society classification and after analyzing the diagnoses made in each class, considerations for a simplifying revision with inclusion of deep lesions are suggested. In conclusion, suggestive evidence is presented to support the concept that endometriosis is a progressive disorder, and it is demonstrated that deep endometriosis is strongly associated with pelvic pain.</description><subject>Aging - physiology</subject><subject>Biological and medical sciences</subject><subject>Dyspareunia - etiology</subject><subject>Endometriosis - complications</subject><subject>Endometriosis - physiopathology</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Menstruation Disturbances - etiology</subject><subject>Neoplasm Invasiveness</subject><subject>Non tumoral diseases</subject><subject>Pain</subject><subject>Pelvis</subject><subject>Prospective Studies</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUV2LFDEQDKKc6-lPOMiLouBoeiaZ2XkSOfyCAx9On0Mm6dltmZ0Z09k97l_4k83crueLIASSpqurOlVCXIB6Awrqt9dKgSlUuS5fQv3K6FLronkgVmBMXZjaVA_F6h7yWDxh_qGUqqEpz8RZqSAXsBK_rvebDXKiA0o8UMDRo0xbl-SMw4G8xDFMO0yRJiaW-Tg5x2kTkXmZCcToGF_Lmy3G_JIBcR5uJY09DSm6ROPmHxzMkyeXMMgbSts_WrOj8al41LuB8dnpPhffP374dvm5uPr66cvl-6vCa12mAlzZ47qtUJctNK1r0Fd6XWPIPnQ6IHQQOuxM03YBIKxB6R6qtq6aujWur6tz8eLIm3_zc58dsDtij8PgRpz2bNdKtwCtyUBzBPo4MUfs7Rxp5-KtBWWXJOxdEnax2ebqLgnb5LmLk8C-22G4nzpZn_vPT33H3g19dKMn_kveNlVZVYv-uyMOsxsHwmjZ0xJToIg-2TDRfzb5DQ90qKM</recordid><startdate>19910401</startdate><enddate>19910401</enddate><creator>Koninckx, Philippe R.</creator><creator>Meuleman, Christel</creator><creator>Demeyere, Stephan</creator><creator>Lesaffre, Emmanuel</creator><creator>Cornillie, Freddy J.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19910401</creationdate><title>Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain</title><author>Koninckx, Philippe R. ; Meuleman, Christel ; Demeyere, Stephan ; Lesaffre, Emmanuel ; Cornillie, Freddy J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-1a2fe893e429179a7ec3486ed424b4de1b1dbeb579bd11d8104f139637695af63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Aging - physiology</topic><topic>Biological and medical sciences</topic><topic>Dyspareunia - etiology</topic><topic>Endometriosis - complications</topic><topic>Endometriosis - physiopathology</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Gynecology. 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| ispartof | Fertility and sterility, 1991-04, Vol.55 (4), p.759-765 |
| issn | 0015-0282 1556-5653 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aging - physiology Biological and medical sciences Dyspareunia - etiology Endometriosis - complications Endometriosis - physiopathology Female Female genital diseases Gynecology. Andrology. Obstetrics Humans Medical sciences Menstruation Disturbances - etiology Neoplasm Invasiveness Non tumoral diseases Pain Pelvis Prospective Studies |
| title | Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain |
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